RESIDENT / HUMANITARIAN COORDINATOR REPORT ON … · Cox‟s Bazar and the inter-agency forum for...

Resident / Humanitarian Coordinator

Report on the use of CERF funds

RESIDENT / HUMANITARIAN COORDINATOR REPORT ON THE USE OF CERF FUNDS

BANGLADESH RAPID RESPONSE

DISPLACEMENT 2016

RESIDENT/HUMANITARIAN COORDINATOR Robert Watkins

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REPORTING PROCESS AND CONSULTATION SUMMARY

a. Please indicate when the After Action Review (AAR) was conducted and who participated.

The After-Action Review took place on 23 July 2017. All Agencies concerned by the CERF RR allocation participated to the review.

b. Please confirm that the Resident Coordinator and/or Humanitarian Coordinator (RC/HC) Report was discussed in the Humanitarian and/or UN Country Team and by cluster/sector coordinators as outlined in the guidelines.

YES NO

c. Was the final version of the RC/HC Report shared for review with in-country stakeholders as recommended in the guidelines (i.e. the CERF recipient agencies and their implementing partners, cluster/sector coordinators and members and relevant government counterparts)?

YES NO

Following its review by the CERF Secretariat, the final version of the RC/HC Report will be shared with in-country stakeholders as recommended in the guidelines.

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I. HUMANITARIAN CONTEXT

TABLE 1: EMERGENCY ALLOCATION OVERVIEW (US$)

Total amount required for the humanitarian response: 41,000,000

Breakdown of total response funding received by source

Source Amount

CERF 3,090,269

COUNTRY-BASED POOL FUND (if applicable)

OTHER (bilateral/multilateral) 4,215,538

TOTAL 7,305,807

TABLE 2: CERF EMERGENCY FUNDING BY ALLOCATION AND PROJECT (US$)

Allocation 1 – date of official submission: 22/12/2016

Agency Project code Cluster/Sector Amount

IOM 16-RR-IOM-042 Water, Sanitation and Hygiene 236,149

IOM 16-RR-IOM-043 Health 187,093

IOM 16-RR-IOM-044 Shelter 980,591

UNFPA 16-RR-FPA-055 Health 399,999

UNFPA 16-RR-FPA-054 Sexual and/or Gender-Based Violence 203,895

UNICEF 16-RR-CEF-129 Child Protection 107,873

UNICEF 16-RR-CEF-130 Nutrition 282,667

WFP 16-RR-WFP-072 Food Aid 692,002

TOTAL 3,090,269

TABLE 3: BREAKDOWN OF CERF FUNDS BY TYPE OF IMPLEMENTATION MODALITY (US$)

Type of implementation modality Amount

Direct UN agencies/IOM implementation 2,528,715

Funds forwarded to NGOs and Red Cross / Red Crescent for implementation 561,554

Funds forwarded to government partners

TOTAL 3,090,269

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HUMANITARIAN NEEDS In November 2016, a surge of population comprising mainly of rural families with cultural and ethnic similarities with the bordering communities in south eastern Bangladesh crossed the border from the northern part of Rakhine State into Bangladesh. The majority of the mass influx has been into Cox‟s Bazar district through different entry points in land border or marine channel. Teknaf (Leda Makeshift Settlement, Shamlapur) and Ukhia (Kutupalong Makeshift Settlement) Upazilas, which were already hosting a large number of both registered refugees and undocumented Myanmar nationals (UMNs) recorded the highest influx. On 26 November 2016, the United Nations in Bangladesh released a Joint Humanitarian Contingency Plan to define preparedness and response actions to cope with the influx of Rohingya refugees from Rakhine State, Myanmar into Cox‟s Bazar, Bangladesh. The plan considered lessons learned and needs identified from previous responses to cross-border displacements in order to ensure that the humanitarian community was able to deliver an effective and timely integrated response. The Joint Humanitarian Contingency Plan concerned a caseload of 50,000 people (60% women, 40% men) including 25,000 children. At that time, the specific number of the new arrivals was difficult to ascertain accurately due to the sensitivity of the matter and the fact that the new refugees were on-the-move and thus were staying in assessed locations for a limited period of time while seeking refuge and livelihood opportunities in other areas. As of 03 December 2016, the United Nations in Bangladesh indicated that at least 22,000 people (10,229 men, 11,771 women including 12,102 children) had already arrived into Cox‟s Bazar. Eventually, from ISCG Needs and Population Reports, we know that 75,000 Rohingya people arrived in Bangladesh since the outbreak of violence in 2016 in North Rakhine in the first months of implementation of the CERF-funded projects. In August 2017, this number of newly arrived Rohingya population continues to increase and has reached more than 87,000 persons. According to the Multi-Sector Initial Rapid Assessment (MIRA) report conducted from 24 November to 1 December 2016, the new arrivals came from more than 50 villages in Rakhine state, Myanmar. The duration of their journey to Cox‟s Bazar district in Bangladesh varied between 7 to 30 days. New Rohingya refugees included unaccompanied children, pregnant and lactating women, people with disabilities, victims of torture, abuse or exploitation (before undertaking or during their journey to Bangladesh) including sexual violence notably rape. Rohingya in Rakhine were already considered very vulnerable, suffering from poverty, high levels of food insecurity, and high rates of malnutrition in young children. The vast majority of them have reached Bangladesh without any personal belongings. The sudden influx in south eastern Bangladesh has increased the number of highly vulnerable Rohingya refugees, exceeding the absorption capacity of the on-going and critically underfunded assistance provided in the underdeveloped district of Cox‟s Bazar. As a result, there has been a sudden and marked deterioration of the humanitarian situation, including an alarming level of malnutrition in the camps, high levels of psycho-social stress due to low birth spacing, large family sizes and cramped living conditions; poor sanitation and hygiene practices; inadequate access to safe drinking water. In the context of the new influx and the sudden deterioration of the humanitarian situation, women‟s and girls‟ vulnerability to Sexual and Gender Based Violence (SGBV) increased. Triggering factors included: heightened level of stress, restricted mobility and privacy, disrupted services and weakened protection. The stressful overcrowded living conditions and scarce resources led to negative coping mechanisms including begging, survival sex work and sex for food. Latrines and bathing facilities were a key source of concern as they were not sufficient in number, not well lit, and not sufficiently sex-segregated. The large majority of new arrivals were impoverished, irregular day labourers, many of whom were already reliant on WFP assistance in in Myanmar. The food security situation of the new arrivals and their hosts steadily worsened in Bangladesh. Adults were managing with only one meal per day. Female-headed households were especially vulnerable. 48 percent of under 5 children were malnourished. The prevalence of acute malnutrition in Teknaf and Ukhiya Upazilas was serious (12.5 percent. In 2014 already, the Kutupalong official camp recorded a moderate acute malnutrition (MAM) rate of 11 per cent and a severe acute malnutrition (SAM) rate of 2 per cent in the Nayapara official camp, the MAM rate was 13 per cent, and the SAM rate was 1 per cent. Due to the poor pre-crisis nutrition status as well as the aggravating factors, the nutritional situation of the population was rapidly deteriorating. The arrival of UMNs created a strain to the existing water and sanitation infrastructure within the registered refugee camps, makeshift settlements of Leda, Kutupalong and Shamlapur and in villages of Ukhia and Teknaf Upazilas. There were insufficient sanitation facilities (toilets, bathrooms) in the settlements to serve the increasing number of users. To minimize the risk of disease outbreaks due to poor sanitation and improper hygiene practices, the provision of sanitation facilities as well as hygiene promotion were urgently needed. About 45 per cent of the new arrivals did not have access to adequate water supply while only 2 per cent had access to their relatives‟ latrines and as high as 95 per cent were practicing open defecation. The level of hygiene practices was very poor as about 94 per cent of the

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new arrivals were not practicing handwashing due to lack of soap and 91 per cent of adolescent girls and women faced challenges during menstruation. The influx of the new arrivals exacerbated existing gaps in supporting the provision of primary and secondary health services, including emergency services, in both the makeshift settlements as well as Government facilities in Ukhiya Upazila. Key triggers of the deterioration of the health situation included: increased size of the community trying to access basic health care services; insufficient health care personnel, especially female doctors and paramedics, equipment and drugs; lack of regular medical supplies including family planning commodities, which threatens population health and well-being. Furthermore, the number of people staying in one room was extremely high in some cases, as almost 8 per cent of the households in the MIRA sample (n=584) reported that more than 17 people were sharing one room. As the winter months were bringing additional health risks to population without adequate shelter.

II. FOCUS AREAS AND PRIORITIZATION

At the time of the CERF RR application, humanitarian partners in Bangladesh were developing a Humanitarian Response Plan (HRP) that took into consideration the planning assumptions of the Joint Humanitarian Contingency Plan developed at inter-agency level and released on 26 November 2017. The 6-month HRP plan (valued US$ 41 million) articulated the shared vision of the international community on how to respond to the assessed and expressed needs of the estimated caseload of 50,000 new Rohingya directly affected by the crisis. Building on the existing Joint Humanitarian Contingency Plan, the HRP focused on the following strategic objectives:

1. Advocacy efforts with relevant authorities for the respect of humanitarian principles and the creation of a conducive environment that allows humanitarian access to the new Rohingya refugees and enables people in need of life-saving services to access basic services;

2. Protection services to restore safety and dignity of the new arrivals, including effective response to and prevention of SGBV cases and abuse (incl. survival sex work, food for sex); equitable access to SGBV service providers; access for vulnerable children to child protection services and other basic services, protection monitoring/assessments; equitable access to psychosocial support;

3. Immediate life-saving assistance, including strengthening of current humanitarian assistance programmes in health, food security/nutrition, wash.

Out of these overarching HRP strategic objectives (SO), the Resident Coordinator (RC), in consultation with the UNCT Sub-Group for Cox‟s Bazar and the inter-agency forum for humanitarian assistance in Cox‟s Bazar (NGOs, UN representatives, Development Partners) determined that the CERF proposal would focus on SO2 and SO3 “Protection services to restore safety and dignity of the new arrivals” and “Immediate life-saving assistance”. The CERF-supported response targeted 22,000 new arrivals in Cox‟s bazar out of the total caseload of 50,000 individuals directly affected by the current crisis, as indicated in the overall Joint Humanitarian Contingency Plan. The geographical location of the individuals targeted with CERF funding were the two official settlements located in Nayapara (Teknaf) and Kutupalong (Ukhiya), as well as the makeshift settlements (particularly in and around the Teknaf and Ukhiya Upazilas (sub-districts), and the host communities. The CERF allocation aimed to address the most critical and life-saving humanitarian needs in the following key sectors of this humanitarian response: Protection, Food, Nutrition, Wash, Health and Shelter. The prioritization of the geographical and sectoral focus of the CERF request was also informed by the Multi-Cluster/Sectoral Initial Rapid Assessment (MIRA) conducted from 24 November to 1 December 2016 by the Inter-Agency Emergency Coordination Team in Cox‟s Bazar to support the identification of acute humanitarian needs of the new arrivals.

III. CERF PROCESS

The following needs assessments informed the CERF prioritization process: i) available secondary data related to the Rohingya population; ii) Initial Multi-Cluster Rapid Needs Assessment – MIRA, conducted by national and international humanitarian partners from 24 November to 1 December 2016. Throughout the prioritization process, consultations at operational level took place between agencies and the RCO. At a more strategic level, the RC maintained a constant dialogue with the Ministry of Disaster Management and Relief (MoDMR), the Ministry of Foreign Affairs (MoFA) and the Prime Minister‟s Office (PMO).

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The following sectors were highlighted as key priorities where immediate and life-saving support was required: Protection, Food Security/Nutrition, Wash, Health. A CERF prioritisation meeting was convened by the RCO on 7 December 2016, with the participation of representatives from agencies of the prioritised sectors. During the meeting, agencies discussed the assessment initial findings and agreed on the overall strategic parameters for the CERF-supported response. The discussion focused on the following elements: i) agreement on the key priority sectors for the immediate response (Protection, Food, Nutrition, Wash, Health); ii) validation of the geographic areas to focus the life-saving interventions (Cox‟s Bazar – registered refugee camps, host communities, makeshift camps); iii) determination of the caseload for the CERF-supported response and prioritization of the beneficiary groups. The key criteria and parameters to select projects for inclusion in the CERF submission were also discussed during the CERF prioritization meeting held on 7 December. Key criteria and parameters followed to prioritise projects for CERF support included the following: • Directly related to the Rohingya influx response. • Adhere to „life-saving‟ criteria and centre around the most (not all) essential humanitarian needs. • For humanitarian projects. • Based on partnerships/complementarity of interventions. • Be informed by a larger response strategy. • Complemented by other funding sources. • Direct assistance to be implemented within 4 months (6 months to complete all project activities and deplete the funds) • Access, discreet and low-profile interventions, building on existing basic services (as requested by the Government) Based on the endorsed guidance and overarching priorities established, sectors identified priority projects/activities for CERF funding. Projects/activities were selected based on the following jointly agreed criteria: i) available needs assessments data; ii) funding situation; iii) compliance with the CERF life-saving criteria; iv) agencies‟ operational capacity to implement the activities within up to the first six months of the response; Agencies prepared CERF grant proposals for prioritized projects. In most cases, agencies consulted with respective regional or headquarters emergency/CERF Focal Points during this drafting stage. Most UN agencies took into consideration gender equality issues in their respective projects, underpinned, where possible, by gender analysis. Where more than one project was to be submitted within a sector, the principle of complementarity between the projects was implemented. The RC, with support from the Resident Coordinator Office (RCO) and the OCHA Regional Office for Asia and the Pacific (ROAP), ensured that drafted proposals met the necessary requirements. The RC also validated the specific amount requested by each proposal and agency. This included an appraisal of pledges or contributions received. The RCO/OCHA team consolidated the application package and completed Parts I and II of the application template.

IV. CERF RESULTS AND ADDED VALUE

TABLE 4: AFFECTED INDIVIDUALS AND REACHED DIRECT BENEFICIARIES BY SECTOR1

Total number of individuals affected by the crisis: 50,000

Cluster/Sector

Female Male Total

Girls

(< 18)

Women

(≥ 18) Total Boys

(< 18)

Men

(≥ 18) Total

Children

(< 18)

Adults

(≥ 18) Total

Child Protection 4,459 4,459 4,194 4,194 8,653 8,653

Food Aid 10,726 7,836 18,562 9,581 5,883 15,464 20,307 13,719 34,026

Health 9,852 17,960 27,812 7,376 6,649 14,025 17,228 24,609 41,837

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Nutrition 5,492 3,806 9,298 4,701 4,701 10,193 3,806 13,999

Sexual and/or Gender-Based Violence

6,315 4,815 11,130 101 89 190 6,416 4,904 11,320

Shelter 6,768 5,267 12,035 6,270 4,572 10,842 13,038 9,839 22,877

Water, Sanitation and Hygiene

6,768 5,267 12,035 6,270 4,572 10,842 13,038 9,839 22,877

1 Best estimate of the number of individuals (girls, women, boys, and men) directly supported through CERF funding by cluster/sector.

BENEFICIARY ESTIMATION

TABLE 5: TOTAL DIRECT BENEFICIARIES REACHED THROUGH CERF FUNDING2

Children

(< 18) Adults (≥ 18)

Total

Female 10,726 17,960 28,686

Male 9,581 6,649 16,230

Total individuals (Female and male) 20,307 24,609 44,916

2 Best estimate of the total number of individuals (girls, women, boys, and men) directly supported through CERF funding This should, as best possible, exclude significant overlaps and double counting between the sectors.

To avoid possible double-counting, the number of individuals (girls, women, boys, and men) were analysed comparatively for all projects concerned by this application. From that analysis, the highest number of girls, women, boys and men was identified across all projects, selected and included in the table.

CERF RESULTS

While the CERF application targeted a prioritized caseload of 22,000 individuals, CERF-funded projects benefited an estimated total number of 44,916 (64 per cent women, 45 per cent children) newly arrived Rohingya out of a total caseload of 50,000 persons as outlined in the contingency plan. A higher number of newly arrived were reached notably through Food Assistance. Although prices were verified during the proposal period, fluctuation in commodity price of between 10-30% contributed positively at the time of procurement through a tender process, to a higher tonnage being procured and distributed. The prices of vegetable oil and WSB+ and WSB ++ were also lower, resulting in higher tonnage being procured. Based on this, WFP negotiated better/competitive transport costs due to the higher tonnage purchased. The increased number of reached beneficiaries is also explained by the Health interventions and the highly successful community outreach activities for supporting vaccination campaigns, emergency first aid, reproductive health support, and support for pregnant women and children under 5 years. IOM deployed additional female staff including doctors and midwives to encourage more adult women to access health services. Child Protection

3 Child-Friendly Spaces (CFS) were capacitated with trained social workers and equipped with required materials to provide basic psychosocial counselling support

8,653 children benefited from recreational service provided in the CFS

1,015 cases of children who required psychosocial first aid were managed

1,456 adolescents participated to Life Skills-Based Education (LSBE) sessions organized in 66 adolescent clubs

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492 adolescents completed 11 LSBE sessions

528 interactive sessions were conducted by the adolescent groups

6 adolescents Interactive Popular Theatre (IPT) groups and performances were organized

25 Community Based Child Protection Committees (CBCPCs) were made fully functional and organized public debates and discussions on issues related to child marriage, child labour and corporal punishment

1,015 cases of children in the need of protection were referred by CBCPC‟s social workers and managed by relevant service providers

184 unaccompanied and separated children were identified, among them 27 children reunited with their families during project period

Food Aid

34,026 new arrivals received food assistance

731 MT of rice was procured and distributed

6,811 households received planned general food distributions in time

3,633 children, PLWs and TB patients receiving food assistance

Messaging and counselling on specialized nutritious foods, Infant & Young Child Feeding (IYCF) practices, maternal care and nutrition were implemented effectively

Health

26,914 new arrivals had access to primary health care

8,127 new arrivals received first aid emergency assistance

3,225 patients received medical assistance in eight IOM health facilities provided with essential medicines and equipped

8 vaccination centres were established to provide access to vaccination services to children under five

422 deliveries were safely conducted in all targeted facilities

230 ante-natal care cases were safely managed

84 obstetric emergencies managed in Ukhiya Upazila health complex

1,000 pregnant women provided with Safe Delivery Kits

100% health facilities equipped with Rape Treatment Kits to provide treatment for rape survivors

Immediate access to GBV related information and clinical services made available

5,000 condoms were distributed at health facilities

3, 006 patients were provided with emergency transportation through a voucher distribution programme Nutrition

6,122 children under 5 were screened for malnutrition

750 children under 5 referred and treated for Severe Acute Malnutrition (SAM)

94 community nutrition workers and volunteers as well as 114 governmental health service providers were trained on Infant Young Child Feeding in emergency (IYCF-E) practices

3,806 Pregnant and Lactating Women (PLW) were counselled on IYCF practices

2,632 children of 6 to 23-month-old received Micronutrient Powder (MNP) supplementation

9,352 children under 5 and adolescent received deworming treatment Sexual and/or Gender-Based Violence

11,320 women‟s and girls were supported for responding to their GBV-related psychological needs

8 psycho-social counsellors were hired and deployed to conduct 180 psycho-social counselling sessions

3 Women Friendly Spaces were established to provide safe space for women and girls, psycho-social counselling service and functioning referral for GBV survivors

3,600 Dignity Kits including garments, sanitary napkins, safety whistles, torch and personal hygiene products were distributed

7,200 women and girls of reproductive age received Dignity Kits and blankets to restore their sense of dignity

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Shelter

22,877 new arrivals benefited from emergency shelter assistance

A total of 4,620 of the most vulnerable newly arrived UMNs were provided with shelter materials and essential basic supplies (general NFI kits) that included items such as mosquito net, utensils, basic clothing articles, and a bag to carry the items.

17,196 plastic tarps and 4,982 canvas tarps were distributed Water, Sanitation and Hygiene

22,877 new arrivals had access to 15 litres of safe water per person per day

Access to safe water was facilitated to ensure a total water collection time of 30 minutes maximum for a round trip including queuing for all targeted persons

6,450 hygiene kits were distributed

3 ring wells were connected by gutters and one rainwater pond connected to roof catchment by gutters and PVC pipes

An existing rain water pond was also maintained throughout the project and connected to the roof catchments to harvest rainwater

20 Deep tube-wells were installed; and 5 community latrines were constructed

60 household latrines built; 30 bathing cubicles constructed; formed 6 groups of adolescent girls with 134 participants and conducted menstrual hygiene sessions; all 5 community latrines had hand washing devices installed.

CERF’s ADDED VALUE

a) Did CERF funds lead to a fast delivery of assistance to beneficiaries? YES PARTIALLY NO CERF funds led to a fast delivery of assistance to beneficiaries for all CERF funded projects. For instance, emergency latrines were constructed in 48 hours and the mass vaccination campaign for Measles Rubella-Oral Polio Vaccine (MR-OPV) was undertaken swiftly. Moreover, CERF funds brought life-saving reproductive health services closer to the beneficiaries, reducing significantly travel time for the provision of emergency care. The establishment of 24/7 referral pathways eliminated the time and distance inconvenience for referral. The delivery of Clean Delivery Kits ensured timely, sage and clean deliveries. Moreover, the distribution of Dignity Kits within the three weeks was made possible by the CERF. It provided women and girls with means for safe mobility in the settlement areas to access information, services and peer support networks. The fast delivery of assistance was achieved despite challenging unfavourable weather conditions (heavy monsoon rain).

b) Did CERF funds help respond to time critical needs1? YES PARTIALLY NO CERF funds helped respond to time-critical needs of highly vulnerable and destitute persons as planned in all concerned projects. For instance, CERF funding allowed the timely critical response to disease outbreaks. It also contributed to the delivery of psychological first aid and emergency service referral for unaccompanied women and children exposed to acute forms of violence including witnessing extra-judicial murders, experiencing sexual violence and undergoing physical torture. CERF funds were of paramount importance to prevent further loss of lives by providing life-saving assistance to an extremely vulnerable population in all sectors concerned by this report.

c) Did CERF funds help improve resource mobilization from other sources? YES PARTIALLY NO CERF funds helped to improve resource mobilization from other sources, notably on Child Protection, Health, SGBV, WASH and Shelter emergency response interventions. Complementary funding was mobilized from the Canadian Humanitarian Assistance Fund (CHAF), Denmark, United Kingdom‟s Department for International Development (DFID), and the US Bureau of Population, Refugees and Migration (BPRM). In addition, internal emergency staff were deployed to cover for the increased needs and to fill

1 Time-critical response refers to necessary, rapid and time-limited actions and resources required to minimize additional loss of lives and

damage to social and economic assets (e.g. emergency vaccination campaigns, locust control, etc.).

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capacity gaps for the overall response (e.g. SURGE). Out of the US$ 7.3 million mobilized for this emergency, 58 per cent of those were mobilized from sources other than the CERF.

d) Did CERF improve coordination amongst the humanitarian community?

YES PARTIALLY NO CERF funding was allocated at a time when a new humanitarian coordination structure was being established in Cox‟s Bazar to respond to the aggravated protracted refugee crisis. The Inter Sectoral Coordination Group (ISCG) led to improving communication, coordination and standard information sharing between partners. CERF funding combined with a more predictable coordination platform led to a significantly enhanced coordination amongst the humanitarian community. For instance, IOM and UNFPA jointly implemented the CERF health project and this contributed to strengthened coordination between the Agencies. The use of limited resources was maximized and duplication avoided. For the first time, a multi-sectoral service provision for GBV survivors was coordinated outside the registered refugee camps. Site selection of vaccination posts was also decided in a coordinated manner among the humanitarian community.

e) If applicable, please highlight other ways in which CERF has added value to the humanitarian response

CERF added value to the humanitarian response by enabling joint and timely life-saving GBV and health interventions. It led to a strong interaction of GBV and sexual and reproductive health programming to ensure that medical care for sexual assault survivors was supported by trained staff in appropriately equipped and accessible facilities. CERF funded projects notably Health, WASH and Shelter interventions allowed to maintain the physical environment of the makeshift settlements relatively safe and secure. Purchasing price of commodities allowed to increase bulk procurement and consequently, added value for money to the CERF RR interventions.

V. LESSONS LEARNED

TABLE 6: OBSERVATIONS FOR THE CERF SECRETARIAT

Lessons learned Suggestion for follow-up/improvement Responsible entity

NA NA NA

TABLE 7: OBSERVATIONS FOR COUNTRY TEAMS

Lessons learned Suggestion for follow-up/improvement Responsible entity

Information sharing across sectors to be further

strengthened

Findings from distribution monitoring reports for Dignity Kits should be shared across sectors to ensure that WASH

sector/cluster‟s and GBV sector/cluster‟s distributions are well coordinated and that products (e.g. menstrual hygiene products)

are culturally appropriate.

WASH and GBV sectors/clusters

GBV preparedness measures to be strenghtened

First responders across sectors should receive information regarding GBV referral pathways and guiding principles for communicating with survivors. Integrated psychological and

health interventions should support GBV first response.

GBV sector/cluster; ISCG

Advocacy for increased access to basic social services to be

continued

Access to child protection services should be expanded for refugee children/adolescents and their familiies including

unaccompangied and separated children in camps and host community settings.

National authorities and humanitarian partners

Community messaging to be aligned across humanitarian

actors

Community messaging on issues such as GBV services availability and access by humanitarian actors should be aligned

to facilitate dissemination and outreach of the information. ISCG

Emergency hot line numbers to The establishment of one single hot line number with dispatch ISCG

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be centralized system should be considered to facilitate information sharing and referral

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VI. PROJECT RESULTS

2 This refers to the funding requirements of the requesting agency (agencies in case of joint projects) in the prioritized sector for this specific emergency. 3 This should include both funding received from CERF and from other donors.

TABLE 8: PROJECT RESULTS

CERF project information

1. Agency: UNICEF 5. CERF grant

period: 29/12/2016 - 28/06/2017

2. CERF project

code: 16-RR-CEF-129

6. Status of CERF

grant:

Ongoing

3.

Cluster/Sector: Child Protection Concluded

4. Project title: Protective Environment for Children and Adolescents in Cox‟s Bazar area

7.F

un

din

g

a. Total funding

requirements2: US$ 360,000 d. CERF funds forwarded to implementing partners:

b. Total funding

received3: US$ 127,873

NGO partners and

Red

Cross/Crescent:

US$ 100,368

c. Amount received

from CERF:

US$ 107,873 Government

Partners:

Beneficiaries

8a. Total number (planned and actually reached) of individuals (girls, boys, women and men) directly through CERF

funding (provide a breakdown by sex and age).

Direct Beneficiaries Planned Reached

Female Male Total Female Male Total

Children (< 18) 4,365 2,351 6,716 4,459 4,194 8,653

Adults (≥ 18)

Total 4,365 2,351 6,716 4,459 4,194 8,653

8b. Beneficiary Profile

Category Number of people (Planned) Number of people (Reached)

Refugees 6,716 8,653

IDPs

Host population

Other affected people

Total (same as in 8a) 6,716 8,653

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CERF Result Framework

9. Project objective Protective Environment for Children and Adolescents in Cox‟s Bazar area

10. Outcome

statement

Outcome-1: To facilitate better access of 4,365 children to child protection and development services

through Child Friendly Spaces (CFS)

Outcome-2: To empower 2,351 adolescents to act as change-makers through life-skill and occupational

development

Outcome-3: To improve protection activities at the community level including referral of children to

services and public declaration to abandon harmful practices through strengthening the capacity of

Community Based Child Protection Committees (CBCPC)

Outcome-4: To advocate and network in strengthening linkages and cooperation with Child Welfare

Board and other actors for protection and development of children and adolescents

11. Outputs

Output 1 Child Friendly Spaces (CFS) are operational with community support and children‟s participation in

management, ensuring that marginalized children have access at least one of social protection services.

Output 1 Indicators Description Target Reached

Indicator 1.1 # of CFS fully equipped with human resources, materials and

activities with support from community 3 3

Indicator 1.2 # of children who receive recreational service at CFS 6,716 8,653

Indicator 1.3 # of CFS equipped with trained social workers to provide basic

psychosocial counselling support 3 3

Indicator 1.4 # of children whose case is referred to statutory services

through case management including psychosocial first aid, etc. 500 1,015

Output 1 Activities Description Implemented

by (Planned)

Implemented by

(Actual)

Activity 1.1

CFS will be operational six days in a week. Children with

different age groups access and attend different corners based

activities inside the CFS including recreational and

psychosocial counselling support for children; Support in

developing IMS of children.

UNICEF/BRAC/

CODEC

UNICEF/BRAC/C

ODEC

In case of significant discrepancy

between planned and reached

beneficiaries, either the total

numbers or the age, sex or category

distribution, please describe reasons:

The reason for the discrepancy between the planned and reached beneficiaries can be

attributed to a number of factors, first and foremost the proactive social work and case

management of children. This ensured increased identification, registration, referral and

follow up of vulnerable children; it also increased the number of children having access

to recreational services.

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Activity 1.2

Linkage development of CFS with the service provider

agencies through organizing meeting and dialogue. Visit of

local government and civil society to the CFS program regularly

and Involvement of local government and like-minded

organizations with CFS‟s special events.

UNICEF/BRAC/

CODEC

UNICEF/BRAC/C

ODEC

Activity 1.3

Formation and function of CBCPC, Peer Groups, Parents

Groups to practice and ensure the child protection. Training of

Peer Leaders on Life skills modules, Child Development

Module, Sports for Development.

UNICEF/CODE

C

UNICEF/BRAC/C

ODEC

Activity 1.4 Refresher on case management guideline for social workers UNICEF/CODE

C UNICEF/CODEC

Activity 1.5 Linkage development of CFS with the local service provider

agencies through organizing meeting and dialogue.

UNICEF/BRAC/

CODEC

UNICEF/BRAC/C

ODEC

Activity 1.6 Introduce child protection policy at CFS; Support in developing

IMS of children UNICEF UNICEF

Output 2 Adolescent clubs are active in ensuring that adolescent girls and boys have access to resources

required for their development.


Indicator 2.1 # of adolescents for whom LSBE made available who attend

one LSBE session at adolescent club

2351

1,456

Indicator 2.2 # of adolescents completed 11 LSBE sessions who are

engaged in civic engagement

1645 492

Indicator 2.3 # of interactive sessions conducted by the adolescent groups 1000 sessions 528

Indicator 2.4 # of adolescent Interactive Popular Theatre (IPT) groups and

performances 6 IPT groups 6 IPT groups


by (Planned)

Implemented by

(Actual)

Activity 2.1

Organize and facilitate the life skill sessions with effective

guidelines through active participation and regular attendance

of the adolescents.

UNICEF/BRAC UNICEF/BRAC/C

ODEC

Activity 2.2 Introduce Life Skills Based Education (LSBE) sessions for

adolescents; UNICEF/BRAC UNICEF/BRAC

Activity 2.3

Facilitate formation of CBCPCs at community level; Support in

strengthened the network among all CBCPCs supporting to

ensure the life skill training for adolescents.

UNICEF/BRAC UNICEF/BRAC

Activity 2.4 Facilitate linkages between adolescent‟s members of the

Adolescents Clubs with members at the CFS. UNICEF/BRAC

UNICEF/BRAC/C

ODEC

Activity 2.5 Adolescents IPT group formation and performance by

adolescents groups UNICEF/BRAC UNICEF/BRAC

Activity 2.6 Sports for development team formation and play by adolescent UNICEF/BRAC UNICEF/BRAC

15

groups

Output 3 CBCPCs are functional to ensure that marginalized children are provided with family support and

statutory services


Indicator 3.1 # of CBCPCs which are provided with child development and

CRC and fully functional with community contribution 25 25

Indicator 3.2

# of targeted communities, which hold public debate and

discussion on e.g. child marriage, child labour, corporal

punishment

25 25

Indicator 3.3

# of cases of children referred per CBCPC per year to service

providers and/ or Child Welfare Board at Upazilla or district

level

500 1,015


by (Planned)

Implemented by

(Actual)

Activity 3.1

Establishment of CBCPCs; CBCPC members, parents trained

on child development. CBCPCs will prepare a Child Protection

Action Plan based on their identification of problems and

issues. CBCPCs will be provided with support to implement

their action plan.

UNICEF/CODE

C

UNICEF/BRAC/

CODEC

Activity 3.2

CBCPCs will enhance the rapport building and accelerate the

referral linkage with child protection networks / service

providers consists of Social Welfare, Health, Women & Child

Affairs Department, NGO etc.

UNICEF/CODE

C UNICEF/CODEC

Activity 3.3

Child rights and child protection issues will be discussed in

interactive dialogue manner deliberately at the meetings of

different committees and forums of communities where parents,

and other community members.

UNICEF/CODE

C

UNICEF/BRAC/

CODEC

Output 4 Strengthened coordination between service providers at union, upazilla and district levels ensuring that

children are provided with services in a timely manner


Indicator 4.1 # of follow up actions decided by Child Welfare Boards in

Ukhiya and Teknaf fully undertaken by social service officials 5 0


by (Planned)

Implemented by

(Actual)

Activity 4.1

Build linkages with CBCPC, DSS at district and Upazilla level

and other actors for protection and development of children and

adolescents

UNICEF/CODE

C

UNICEF/BRAC/

CODEC

Activity 4.2 Coordinate activities so that DWA can lead CPiE south east

coast sub cluster UNICEF UNICEF

12. Please provide here additional information on project’s outcomes and in case of any significant discrepancy

16

between planned and actual outcomes, outputs and activities, please describe reasons:

Due to the conservative beliefs and practices prevailing among Rohingya communities, community members and parents were

not very supportive of adolescents' (especially girls‟) participation at the beginning of the project. Adolescents were almost

"invisible" within the makeshift settlement and to ensure their participation in the club-based activities (e.g. attending Life skills

sessions, sports, IPT etc.), the project organized consultations and sessions with community members and parents to outline the

purpose and objectives of the adolescents‟ clubs and activities. These consultations helped to gain the support of community

members and parents for carrying out the activities for children. This has gradually enabled to create a supportive environment

for the adolescents to incrementally attend the clubs based activities which have an impact on developing their self- esteem, and

other life skills to cope with this adverse situation and, to know their rights and responsibilities. To reach the UMN children the

project has facilitated mobile CFSs to ensure outreach work of the social workers and facilitate children access to CFS based

activities. It is to be noted that the absence of an agreed legal status of the UMN children creates a major challenge in their

access to governmental social protection services. It should also be noted that, coordination among child-centred care and

protection service providers and implementation of case management for children at risk have resulted in referral and

accessibility to relevant service providers.

The number of cases of children referred to service providers and/ or Child Welfare Board at Upazila or district level was higher

than planned. The reasons are the increased capacities of the CBCPC. All the members of the CBCPCs participated to the Child

Development and Child rights perspective module which enabled them to have increased knowledge and understanding of the

protection risks in the context and also the need for referral and accessibilities of social services. It also enhanced the sense of

responsibilities and accountabilities of the duty bearers towards the protection of the children by the laws of the land. In addition,

social workers developed their skills to conduct the case management of the children by participating in case management

trainings. This increased the number of children they could cover during the same time frame.

13. Please describe how accountability to affected populations (AAP) has been ensured during project design,

implementation and monitoring:

A sector based coordination structure has been established for Rohingya response in Cox‟s Bazar underpinned by the principles

of the cluster approach, allowing for more effective sectoral coordination and response. The formation of sectoral standards,

needs assessments and analysis, other relevant technical issues played a vital improvement in the Rohingya response strategy

and enabled to monitor needs and gaps in the provision of humanitarian assistance for ensuring protection of Rohingya children.

Moreover, a strong coordination mechanism inter-sector coordination group (ISCG) also developed to mirror the HCTT to the

extent possible and CCC sector also participate actively in the group to complement and supplement response activities. At sub-

national level, UNICEF continues to lead sectoral coordination in the Child Protection sector in Cox‟s Bazar. The Child Protection

Sector‟s name was changed, as per the request of Ministry of Foreign Affairs to the “Child centred Care Sector”. Under the Child

Protection Sector (Child Centred Care Sector) in Cox‟s Bazar, a technical working group was formed with representation of

UNHCR, Bangladesh Red Crescent Society, and Save the Children, and National Organizations (BRAC and CODEC). The

technical working group is closely working on the case management procedure and referral pathways and to review the case

management tools/forms that have been used by the Social workers (SWs) to cater this dimension of the situation. Child

Protection Sector (Child Centered Care Sector) has reviewed sector indicators and set targets for 2017 and 4Ws of the Sector

was also updated with participation from sector members.

14. Evaluation: Has this project been evaluated or is an evaluation pending? EVALUATION CARRIED OUT

17

Routine monitoring on the project has been conducted to review progress across all levels.

Field visits have been undertaken to monitor and support smooth implementation.

Discussions with children, adolescents, members of Community based child protection

committee (CBCPC) as well parents‟ groups have taken place to understand the impact of

the project. Implementing partners have ensured routine reporting on the project. Joint

visits of the project have also been facilitated between UNHCR, UNICEF and IOM through

coordination, sharing of progresses and facilitation visit to the Child Friendly Spaces (CFS)

and Adolescents clubs. Also, the Upazila Social Services Officer (USSO) of Department of

Social Services (DSS), Upazila Women Affairs Officers, and Upazila Nirbahi Officer (UNO)

have undertaken field visits to the CFS and adolescent clubs.

EVALUATION PENDING

NO EVALUATION PLANNED

18




1. Agency: UNICEF 5. CERF grant

period: 05/01/2017 - 04/07/2017

2. CERF project

code: 16-RR-CEF-130

6. Status of CERF

grant:

Ongoing

3.

Cluster/Sector: Nutrition Concluded

4. Project title: Nutrition interventions for children under 5 and pregnant and lactating women (PLW) in Cox‟s Bazar

7.F

un

din

g

a. Total funding

requirements4: US$ 1,300,000 d. CERF funds forwarded to implementing partners:

b. Total funding


NGO partners and Red

Cross/Crescent: US$ 220,492

c. Amount received

from CERF:

US$ 282,667 Government Partners:

Beneficiaries





Children (< 18) 5,477 4,716 10,193 5,492 4,701 10,193

Adults (≥ 18) 3,045 0 3,045 3,806 0 3806

Total 8,522 4,716 13,238 9,298 4701 13,999



Refugees 13,238 13,999

IDPs

19


9. Project objective

To reduce mortality and morbidity among 13,238 UNMs by improving the nutrition status of 6,072

children under 5 and 3806 pregnant and lactating women and 3280 adolescents in a six-month time

frame.

10. Outcome statement Children under 5 and pregnant and lactating women have access to essential nutrition services.

11. Outputs

Output 1 Improved access to nutritional services among 6072 children under 5, 3806 pregnant and lactating

women and 3280 adolescents in host communities and makeshift settlements.


Indicator 1.1 Number of children under 5 screened for malnutrition 6,072 6,122

Indicator 1.2 Number of children under 5 referred and treated for

SAM 600 750

Indicator 1.3

Number of Pregnant and Lactating Women (PLW)

reached with counselling on Infant Young Child

Feeding in emergency (IYCF-E) practices

3,806 3,806

Indicator 1.4 Number of 6-23 month children reached with

Micronutrient Powder (MNP) supplementation 1,426 2,632

Indicator 1.5 Number of U5 children and adolescent reached with

deworming 9,352 9,352

Output 1 Activities Description Implemented by

(Planned)

Implemented by

(Actual)

Activity 1.1

Screening of children under 5 for detection of

nutritional status by Mid Upper Arm Circumference

(MUAC). MUAC is available through the Government

storage as well as through implementing partners.

MNP will be provided by partners.

UNICEF/ACF/SHED UNICEF/ACF/SHED

Activity 1.2

Referral and treatment of Severed Acute Malnutrition

(SAM) children at health facilities. National supply

replenishment of F-75 and F-100 was carried out

UNICEF/ACF/SHED UNICEF/ACF/SHED

Host population








Not applicable

20

during September/October 2016 with UNICEF

logistical support.

Activity 1.3 Establish Infant and Young Child Feeding (IYCF)

counselling and support for PLW UNICEF/ACF/SHED UNICEF/ACF/SHED

Activity 1.4 Provide Micronutrient Powder (MNP) supplementation

to for 6-23 months children UNICEF/ACF/SHED UNICEF/ACF/SHED



To address prevailing undernutrition situation of the Rohingya new arrivals, additional 1,206 children aged 6-23 months were

supplemented with MNPs mostly in the Balukhali settlement (the most concentrated settlement for newly arrived Rohingya) and

additional 150 SAM children were referred and received life-saving therapeutic treatment at Out-Patient Treatment (OPT)

centres. Under this project a total of 94 community nutrition workers and volunteers and 114 government health service provides

in Ukhiya and Teknaf were trained on infant and young child feeding (IYCF) counselling and promotion in emergency.



Implementing partners (ACF and SHED), beneficiaries, cluster/Sectoral partners, UN agencies were consulted during project

design, implementation and sharing of the monitoring observations. The project has maintained good coordination and

complementarity with other agencies on the ground particularly WFP and IOM. Implementing Partners (SHED and ACF)

participated in routine coordination mechanisms already existing at district & Upazila levels such as the district nutrition cluster

meetings lead by government and newly established TWG (Technical Working Group) meeting led by UNICEF. Rohingya

emergency nutrition response was regularly updated by UNICEF in ISCG meeting and IACM meeting at Cox‟s Bazar level.

UNICEF organised joint program monitoring visits in makeshifts and in the host communities with the implementing partner and

senior health officials from Ministry of Health & Family Welfare to observe implementation progress, issues/bottlenecks to access

to service delivery for Rohingya from mainstreamed health facilities and cross-checked uptake of services with the beneficiaries.

Reporting was done on a monthly basis by the implementing partners and shared with ISCG and were reflected in monthly ISCG

SITREPs. Additionally, two quarterly meetings were organised with implementing partners, health and family planning

departments at district and Upazila level, cluster/sector partners to review program implementation. In addition, an experience

sharing workshop was organized in Cox‟s Bazar in partnership with the Civil Surgeon Office to document and to share

achievements, best practices, lesson learned of the project implementation with all concerned partners.

At implementation level, initially UNICEF Chittagong field office and then after establishment of UNICEF Cox‟s Bazar field office

was responsible for overall coordination and oversight of the planned activities in consultation with UNICEF Bangladesh Country

Office. Other than the Nutrition Officer based at Chittagong, two additional technical experts were deployed to support in

planning, monitoring and accelerate the implementation.


A significant number of routine monitoring visits by nutrition officer, several visits by district

nutrition support officer (DNSO) were conducted jointly with the implementing partner,

MoHFW officials and UNICEF to monitor the implementation status. In addition, two review

meetings were organized with the partner, MoHFW and UNICEF. Implementation status

and progress were also discussed in district nutrition cluster meetings held at district level.

EVALUATION PENDING


21




1. Agency: UNFPA 5. CERF grant period:

29/12/2016 - 28/06/2017

2. CERF project code:

16-RR-FPA-054 6. Status of CERF grant:

Ongoing

3. Cluster/Sector:

Sexual and/or Gender-Based Violence

Concluded

4. Project title: Saving lives and dignity of Undocumented Myanmar Nationals (UMN) women and girls through multi-sectoral prevention and response to gender-based violence

7.F

un

din

g

a. Total funding requirements6:

US$ 510,000 d. CERF funds forwarded to implementing partners:

b. Total funding received7:

US$ 203,895 NGO partners and

Red Cross/Crescent:

c. Amount received from CERF:

US$ 203,895 Government Partners:

Beneficiaries

8a. Total number (planned and actually reached) of individuals (girls, boys, women and men) directly through CERF funding (provide a breakdown by sex and age).



Children (< 18) 6,400 6,400 6,315 101 6,416

Adults (≥ 18) 4,800 4,800 4,815 89 4,904

Total 11,200 11,200 11,130 190 11,320



Refugees 11,200 11,320

IDPs

Host population



In case of significant discrepancy between planned and reached beneficiaries, either the total numbers or the age, sex or category distribution, please describe reasons:

Not applicable

22


9. Project objective Saving lives and dignity of Undocumented Rohingya women and girls refugee through multi-sectoral GBV response.

10. Outcome statement Increased access of Rohingya new-arrivals to information and services to prevent and respond to GBV.

11. Outputs

Output 1 11,200 women‟s and girls‟ GBV-related psychological needs supported by psycho-social counsellors


Indicator 1.1 No. of psycho-social counsellors hired and deployed to cover the GBV-related needs of women and girls among Rohingya new-arrivals

8 8

Output 1 Activities Description Implemented by (Planned)

Implemented by (Actual)

Activity 1.1 Hire and deploy eight (8) psycho-social counsellors UNFPA, NGO UNFPA, MUKTI

Activity 1.2 Conduct psycho-social counselling sessions in makeshift settlements

NGO MUKTI

Activity 1.3 Monitoring and Evaluation UNFPA, NGO UNFPA, MUKTI

Output 2 Three (3) Women Friendly Spaces established to provide safe space for women and girls, psycho-social counselling service and functioning referral for GBV survivors


Indicator 2.1 No. of Women Friendly Space established 3 3



Activity 2.1 Identify locations near makeshift settlements for establishing Women Friendly Spaces

UNFPA, NGO UNFPA, MUKTI

Activity 2.2 Set up functional Women Friendly Spaces UNFPA, NGO UNFPA, MUKTI

Activity 2.3 Provide psycho-social counselling and transportation for referral of GBV survivors


Activity 2.4 Monitoring and Evaluation

Output 3 7,200 women and girls of reproductive age provided with Dignity Kits and blankets to restore their sense of dignity


Indicator 3.1 No. of women and girls receiving Dignity Kits and blankets

7,200 7,200



Activity 3.1 Procure Dignity Kits and blankets UNFPA UNFPA

Activity 3.2 Identify a partner NGO(s) UNFPA UNFPA

Activity 3.3 Distribute Dignity Kits and blankets through NGO, UN and other partner(s)


Activity 3.4 Monitoring and Evaluation UNFPA UNFPA

23

12. Please provide here additional information on project’s outcomes and in case of any significant discrepancy between planned and actual outcomes, outputs and activities, please describe reasons:

CERF enabled UNFPA to broaden its community engagement approach to also include men and boys, which was not originally included in the project scope. UNFPA targeted those males who assume the role of gatekeepers for women and girls, for instance, community leaders, male heads of house and adolescent boys, through community education and awareness. Learning themes focused on gender-equity, available support services for women and girls, community safety, and violence prevention. A total of 190 men and boys were reached, with CERF‟s support.

13. Please describe how accountability to affected populations (AAP) has been ensured during project design, implementation and monitoring:

UNFPA-supported safe spaces for women and girls, or Women Friendly Spaces (WFS), were led by women and girls among the affected populations. More specifically, an initial assessment was conducted in the affected communities to gather information about the needs, preferences, and constraints of women and girls to ensure access and participation in WFS programming. Regular exchanges with women and girls informed the selection of WFS locations, opening hours, and the types of activities to be undertaken. Activities and approaches in the WFS were tailored to the needs, interests, age, and culture of women and girls based on their continued feedback. Social acceptance and continuation of the WFS activities were secured through the inputs and support of many stakeholders, including husbands, parents, and community leaders that influence the ability of women and girls to participate in programs. Men and boys, in particular, were engaged to understand the purpose, location, and benefits of the spaces to broaden the participation of women and girls. Participation of women and girls in the WFS activities was monitored using participatory methods that engage women and girls and invite views of community members. The Dignity Kits were also designed in partnership with the affected populations, to ensure that the most appropriate items were included, such as culturally-appropriate covering garments and menstrual hygiene products.


The project was monitored very closely by UNFPA‟s technical officers. Dignity kits distribution was monitored closely by UNFPA‟s logisticians. Periodic reviews were held with implementing partners including joint monitoring missions with concerned officials of the Government of Bangladesh.

EVALUATION PENDING


24




1. Agency: UNFPA IOM

5. CERF grant period: 29/12/2016 - 28/06/2017 (UNFPA) 30/12/2016 - 29/06/2017 (IOM)


16-RR-FPA-055 16-RR-IOM-043 6. Status of CERF

grant:

Ongoing

3. Cluster/Sector:

Health Concluded

4. Project title: Provision of critical primary health care including the Minimum Initial Service Package (MISP) for reproductive health in crisis to recently arrived Undocumented Myanmar Nationals (UMNs) in Cox's Bazar.

7.F

un

din

g


US$ 1,000000 d. CERF funds forwarded to implementing partners:


US$ 687,092 NGO partners and Red

Cross/Crescent: US$ 163,101


US$ 587,092 Government Partners: US$ 0

Beneficiaries




Children (< 18) 6,475 5,627 12,102 9,852 7,376 17,228

Adults (≥ 18) 5,296 4,602 9,898 17,960 6,649 24,609

Total 11,771 10,229 22,000 27,812 14,025 41,837



Refugees 22,000 41,837

IDPs

Host population




More beneficiaries were reached than originally planned, as all efforts were made to maximize the reach of the intervention, particularly through community outreach activities for supporting vaccination campaigns, emergency first aid, reproductive health support, and support for pregnant women and children under 5 years. Moreover, additional female staff including doctors and midwives were deployed to encourage more adult women to access health services. This also contributed to reaching more beneficiaries than planned. Overall, the project contributed to increase access to critical life-saving primary health care services including MISP to the affected Undocumented Myanmar Nationals living in the Makeshift Settlements of Kutupalong, Leda, and Shamlapur and within the host communities of Teknaf and Ukhiya Upazilas.

25


9. Project objective Improving the health outcomes of 22,000 Undocumented Myanmar Nationals (UMNs) living in three makeshift settlements and in host communities through accessible primary health care

10. Outcome statement Undocumented Myanmar Nationals living in makeshift settlements and Host Community experience reduced morbidity and mortality and improved access to treatment for injury and illness and other health issues.

11. Outputs

Output 1 22,000 Undocumented Myanmar Nationals have access to outreach primary health care from 8 IOM supported health facilities


Indicator 1.1 Coverage of affected population with access to primary health care increased

50% 50%

Indicator 1.2 Number of newly arrived UMN patients received First Aid

8,000 8,127

Indicator 1.3 Number of newly arrived UMN patients managed through IOM supported 8 health facilities

3,000 3,225



Activity 1.1 Procurement of medicines for first aid kits and distribution to 124 community based health promoters to conduct primary health care outreach for 4 months

IOM IOM

Activity 1.2 Deployment of 54 Health Promoters to provide community based First Aid services to the newly arrived affected population according to SPHERE standards

IOM and local NGO Mukti and Bangla

German Sempreeti (BGS)

IOM and local NGO Mukti and Bangla

German Sampreeti (BGS)

Activity 1.3 Deployment of 1 midwife to enable primary health care services at two understaffed health facilities in Ukhiya and Teknaf

IOM IOM

Activity 1.4 Procurement and supply of medicines to 8 IOM supported health facilities

IOM IOM

Activity 1.5 Establishment of 8 Vaccination centres in Leda makeshift settlement

IOM IOM

Activity 1.6 Printing of IEC materials IOM IOM

Output 2 22,000 Undocumented Myanmar Nationals have access to life saving minimum initial service package for reproductive health service in crisis situations


Indicator 2.1 Number of deliveries conducted in all targeted facilities together per month.

400 422

Indicator 2.2 Number of obstetric emergencies managed in Ukhiya Upazila health complex

50 84

Indicator 2.3 Number of pregnant women provided with Safe Delivery Kits

1,000 1,000

Indicator 2.4 % health facilities with Rape Treatment Kits available in Teknaf and Ukhiya facilities that provide treatment for rape survivors

100 100

26

Indicator 2.5 Number of condoms distributed at health facilities 5,000 5,000

Indicator 2.6 Number of patients provided travel vouchers for higher level of care

3000 3006



Activity 2.1

Recruit a Reproductive Health (RH) Officer to support coordination and ensure international standards in reproductive health provision during crisis situations is met through coordination with all actors.

UNFPA UNFPA

Activity 2.2 Recruit and deploy Midwives to the district hospital UNFPA / RTMI UNFPA/RTMI

Activity 2.3 Recruit and deploy a OB-GYN doctor to Ukhiya Health Complex

UNFPA / RTMI UNFPA/RTMI

Activity 2.4 Procure and distribute interagency RH kits and equipment for MISP

UNFPA / RTMI UNFPA/RTMI

Activity 2.5 Develop referral pathway and provide transportation for victims of sexual violence

UNFPA / IOM / RTMI

UNFPA/IOM/RTMI

Activity 2.6 Provide travel vouchers to patients who require higher level of care by midwives and refer clinicians in the 11 supported health facilities

UNFPA / RTMI UNFPA/Mukti


Overall the planned targets were all achieved, with some cases even exceeded, during the project period. In most areas reach was much greater than planned, as the deployment and additional midwives and extra supplies and equipment enabled many women to access SRHR care at facilities. Increasing the staffing capacity was the central aspect of the CERF project for UNFPA, and the facilities were indeed able to absorb these increased SRHR care providers. It was particularly rewarding to see that the number of women seeking care for emergencies was higher than expected, which was made possible by UNFPA‟s intentional implementation of the CERF intervention for emergency care at a facility much closer to the refugees that had previously not provided emergency care. This high number of women presenting with emergencies indicates that the community became more aware of the SRHR services, and that the services provided were acceptable to them. CERF indeed functioned as a catalyst - UNFPA was eventually able to distribute even a larger number of both Clean Delivery Kits and condoms than reported herewith in this report, as the performance of the CERF-funded assistance enabled UNFPA to mobilize additional funding with which UNFPA procured and distributed more items.

The project ended up reaching a lower number for boys under 18. This could be a result of adolescents who seek SRHR services having inflated their age, which is a common practice within health facilities in many parts of this country, given the social norms against young adolescents‟ access to SRHR info and services and due to the prevalence of child marriage. Healthcare facilities were provided with necessary medical equipment, adequate human resources – a key need, given more than doubling of the caseload – medicines, and other medical supplies to cater clinical services to the target population. Health service providers including doctors, midwives, nurses, and pharmacists were oriented and/or trained in sexual and reproductive health (SRH), basic emergency obstetric and neonatal care (BEmONC), sexual and gender-based violence (SGBV), and basic monitoring and evaluation to improve the quality of services. A total of 8,127 patients were provided first aid and 3,225 patients were provided with clinical consultation and treatment at the healthcare facilities. Referral services and travel vouchers were provided to 3,000 patients to access services at higher level facilities, and 1,000 women were provided with safe delivery kits. Maternal care services to women included ante-natal care, normal delivery and post-natal care.


27


UNFPA has a strong internal control framework which includes a policy and procedural manual that guides the operations of all the projects to ensure the accountability to the beneficiaries. The guidelines were used for the implementation of this CERF project as well. For instance, a “spot check” was performed against UNFPA‟s Implementing Partners in the past year, including RTMI involved in the implementation of this CERF project. This Spot Check included both financial and programmatic observations, and in RTMI‟s case, no problems were identified. Both the Implementing Partner(s) and UNFPA staff monitored all aspects of the programming and operations regarding the CERF and other sources of funds. UNFPA staff had regular contacts with the international MISP Coordinator and the national OB-GYN doctor who were hired through CERF. The MISP Coordinator visited all the CERF-supported health facilities regularly and monitored activities, with a particular emphasis on monitoring emergency care, midwives‟ activities, and response to sexual violence. Beneficiaries were involved in UNFPA‟s project implementation. For instance, regarding the voucher distribution, the selection criteria for the target beneficiaries was determined with the stakeholders involved. Local health authorities and relevant partners provided UNFPA with a list of community members who met the criteria, and community leaders were present for all distributions. A community feedback mechanism was in place since the beginning of the project to ensure accountability to the affected populations. This mechanism included initiatives to build trust within the community and establishing an inter-sectoral model that supported feedback to all sectors across the target area. A dedicated Community Response Map (CRM) was in place, ensuring that beneficiaries can provide feedback about implementation throughout the project cycle. This included a Helpline number, integration of feedback into CRM, and necessary follow-up to the feedback, ensuring accountability to affected populations.


Regular monitoring was carried out throughout the life of the project in accordance with IOM and UNFPA procedural requirements. Under the coordination outcome of the wider intervention, the project had (still does) a data management information system to collect, compile and document data/output throughout the duration of the project. Furthermore, the project ensured effective process documentation to guarantee that the standard project implementation procedures are well documented. This also helped identify best practices as well as processes that required future adjustments. Project activities were also monitored through field monitoring reports (monthly basis) and regular field visits by the project management, UNFPA, and other IOM (e.g. M&E) staff. Regularly briefings on project implementation through National and District level coordination committees have been established to guide and coordinate programme implementation activities with the involvement of the GoB, IOM, implementing partners, and other stakeholders, such as donor agencies. In addition, IOM carried out an evaluation of its overall humanitarian response in Cox‟s Bazar. The finalized evaluation will be shared widely with stakeholders.

EVALUATION PENDING


28




1. Agency: IOM 5. CERF grant

period: 05/01/2017 - 04/07/2017

2. CERF project

code: 16-RR-IOM-042

6. Status of CERF

grant:

Ongoing

3.

Cluster/Sector: Water, Sanitation and Hygiene Concluded

4. Project title: Provision of safe water and access to improved sanitation for vulnerable newly arrived UMNs in Teknaf and

Ukhiya Upazilas of Cox‟s Bazar district

7.F

un

din

g

a. Total funding

requirements10: US$ 787,163 d. CERF funds forwarded to implementing partners:

b. Total funding


NGO partners

and Red

Cross/Crescent:

c. Amount received

from CERF:


Partners:

Beneficiaries





Children (< 18) 6,475 5,627 12,102 6,768 6,270 13,037

Adults (≥ 18) 5,296 4,602 9,898 5,267 4,572 9,840

Total 11,771 10,229 22,000 12,035 10,842 22,877



Refugees 22,000 22,877

IDPs

Host population

29



Improving the health, hygiene, and wellbeing of newly arrived UMNs and their hosts through access to

safe water, hygienic sanitation facilities and practices in Ukhiya and Teknaf Upazilas of Cox‟s Bazar

district.

10. Outcome

statement UMNs and host communities access essential WASH services.

11. Outputs

Output 1 Provision of adequate safe drinking water to targeted newly arrived UMNs and their hosts


Indicator 1.1 # of people with access to sufficient (15 litres/person/day)

safe water 22,000 22,877

Indicator 1.2

# of people that are able to access water within a total

collection time of 30 minutes or less for a round trip

including queuing

22,000 22,877


(Planned)

Implemented by

(Actual)

Activity 1.1 Selection of type of water sources in a particular area

according the geophysical conditions

IOM/Partner NGO

(PNGO) IOM

Activity 1.2 Selection of sites for new water installations IOM/PNGO IOM

Activity 1.3 Processing of procurements for water installations IOM/PNGO IOM

Activity 1.4 Installation of new water sources IOM/PNGO IOM

Activity 1.5 Mapping of exiting dysfunctional water sources IOM/PNGO IOM

Activity 1.6 Rehabilitation of dysfunctional water sources IOM/PNGO IOM

Activity 1.7 Regular monitoring and reporting IOM IOM

Output 2 Provision of adequate and improved sanitation and hygiene in makeshifts and HCs


Indicator 2.1 # of people with adequate access to improved latrine

facilities 22,000 22,877

Indicator 2.2 # of people with adequate access to improved bathing

facilities 22,000 22,877








Not applicable

30

Indicator 2.3 # of people reached with hygiene promotion messages 22,000 22,877


(Planned)

Implemented by

(Actual)

Activity 2.1 Processing of procurements for construction of latrines and

hand washing devices IOM/PNGO IOM

Activity 2.2 Processing of procurements for construction of bathing

cubicles IOM/PNGO IOM

Activity 2.3 Construction of latrines IOM/PNGO IOM

Activity 2.4 Construction of bathing cubicles IOM/PNGO IOM

Activity 2.5 Conducting hygiene sessions IOM/PNGO IOM

Activity 2.6 Conducting specific menstrual hygiene session with

adolescent girls and women IOM/PNGO IOM

Activity 2.7 Procurement and distribution of hygiene kits IOM/PNGO IOM



The project targets were all achieved, with some cases even exceeded, during the project period. The arrival of 74,000 UMNs

between October 2016 and June 2017 meant that the UMN population in project areas – makeshift settlements and selected

host villages – increased considerably. To respond to the situation, IOM pumped, treated, and supplied 240,000 litres of drinking

water a day in Leda makeshift Settlement (LMS) of Teknaf upazila, Cox‟s Bazar. IOM accessed raw (non-curated) water from up-

stream reservoir from where water was diverted during dry season to a reservoir. 3 ring wells were connected by gutters and one

rainwater pond connected to roof catchment by gutters and PVC pipes. Due to roof damage by Cyclone Mora in May 2017,

gutter fitting was not possible to another 9 ring wells. An existing rain water pond was also maintained throughout the project and

connected to the roof catchments to harvest rainwater. 20 Deep tube-wells were installed; and 5 community latrines were

constructed. 60 household latrines built; 30 bathing cubicles constructed; formed 6 groups of adolescent girls with 134

participants and conducted menstrual hygiene sessions; all 5 community latrines had hand washing devices installed.



A community feedback mechanism was in place since the beginning of the project to ensure accountability to the affected

populations. This mechanism included initiatives to build trust within the community and establishing an inter-sectoral model that

supported feedback to all sectors across the target area. A dedicated Community Response Map (CRM) was in place, ensuring

that beneficiaries can provide feedback about implementation throughout the project cycle. This included a Helpline number,

integration of feedback into CRM, and necessary follow-up to the feedback, ensuring accountability to affected populations.


Regular monitoring was carried out throughout the period of the project in accordance with

IOM procedural requirements. Under the coordination outcome of the wider intervention,

the project had (still does) a data management information system to collect, compile and

document data/output throughout the duration of the project.

EVALUATION PENDING


31

Furthermore, the project ensured effective process documentation to guarantee that the

standard project implementation procedures are well documented. This also helped

identify best practices as well as processes that required future adjustments.

Project activities were also monitored through field monitoring reports (monthly basis) and

regular field visits by the project management and other IOM (e.g. M&E) staff.

Regular briefings on project implementation through National and District level coordination

committees have been established to guide and coordinate programme implementation

activities with the involvement of the GoB, IOM, implementing partners, and other

stakeholders, such as donor agencies.

In addition, IOM carried out an evaluation of its overall humanitarian response in Cox‟s

Bazar. The finalized evaluation will be shared with stakeholders.

32




1. Agency: IOM 5. CERF grant

period: 05/01/2017 - 04/07/2017

2. CERF project

code: 16-RR-IOM-044

6. Status of CERF

grant:

Ongoing

3.

Cluster/Sector: Shelter Concluded

4. Project title: Provision of temporary shelter and other essential basic supplies for vulnerable newly arrived UMNs in

Teknaf and Ukhiya Upazilas of Cox‟s Bazar district

7.F

un

din

g

a. Total funding

requirements12: US$ 3,268,636 d. CERF funds forwarded to implementing partners:

b. Total funding

received13: US$ 3,268,636

NGO partners

and Red

Cross/Crescent:

c. Amount received

from CERF:


Partners:

Beneficiaries





Children (< 18) 6,475 5,627 12,102 6,768 6,270 13,037

Adults (≥ 18) 5,296 4,602 9,898 5,267 4,572 9,840

Total 11,771 10,229 22,000 12,035 10,842 22,877



Refugees 22,000 22,877

IDPs

Host population

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9. Project objective Improving the wellbeing of newly arrived UMNs and their hosts through access to shelter and other

essential basic supplies in Ukhiya and Teknaf Upazilas of Cox‟s Bazar district

10. Outcome statement Vulnerable UMNs access temporary shelter and other essential basic supplies

11. Outputs

Output 1 Provision of emergency NFIs including shelter and basic household items


Indicator 1.1 # of households with shelter materials 4,000 4,620

Indicator 1.2 # of targeted households with essential basic

supplies in their possession 4,000 4,620


(Planned)

Implemented by

(Actual)

Activity 1.1 Procurement and distribution of general NFI kits

including winter clothing IOM/PNGO IOM

Activity 1.2 Procurement, distribution, and provision of

temporary shelter IOM/PNGO IOM

Activity 1.3 Regular monitoring and reporting IOM IOM








34



A total of 4,620 of the most vulnerable newly arrived UMNs were provided with shelter materials and essential basic supplies

(general NFI kits) that included items such as mosquito net, utensils, basic clothing articles, and a bag to carry the items.



A community feedback mechanism was in place since the beginning of the project to ensure accountability to the affected

populations. This mechanism included initiatives to build trust within the community and establishing an inter-sectoral model that

supported feedback to all sectors across the target area. A dedicated Community Response Map (CRM) was in place, ensuring

that beneficiaries can provide feedback about implementation throughout the project cycle. This included a Helpline number,

integration of feedback into CRM, and necessary follow-up to the feedback, ensuring accountability to affected populations.


Regular monitoring was carried out throughout the life of the project in accordance with

IOM procedural requirements. Under the coordination outcome of the wider intervention,

the project had (still does) a data management information system to collect, compile and

document data/output throughout the duration of the project. Furthermore, the project

ensured effective process documentation to guarantee that the standard project

implementation procedures are well documented. This also helped identify best practices

as well as processes that required future adjustments.

Project activities were also monitored through field monitoring reports (monthly basis) and

regular field visits by the project management and other IOM (e.g. M&E) staff.

Regular briefings on project implementation through National and District level coordination

committees have been established to guide and coordinate programme implementation

activities with the involvement of the GoB, IOM, implementing partners, and other

stakeholders, such as donor agencies.

In addition, IOM carried out an evaluation of its overall humanitarian response in Cox‟s

Bazar. The finalized evaluation will be shared with the stakeholders.

EVALUATION PENDING


35




1. Agency: WFP 5. CERF grant period: 20/12/2016 - 19/06/2017


16-RR-WFP-072 6. Status of CERF grant:

Ongoing

3. Cluster/Sector:

Food Aid Concluded

4. Project title: Emergency Food and Nutrition Assistance for Rohingya Refugees

7.F

un

din

g


US$ 1,731,824 d. CERF funds forwarded to implementing partners:


US$ 1,720,000 NGO partners and

Red Cross/Crescent:

US$ 77,593



Partners:

Beneficiaries




Children (< 18) 6,475 5,627 12,102 10,726 9,581 20,307

Adults (≥ 18) 5,296 4,602 9,898 7,836 5,883 13,719

Total 11,771 10,229 22,000 18,562 15,464 34,026



Refugees 22,000 30,426

IDPs

Host population




The CERF funding reached a higher beneficiary number as compared to planned totals due to commodity price decrease. During the program period, the price of rice was much lower resulting in a higher tonnage being procured. The price of vegetable oil and WSB+ and WSB ++ was also lower resulting in higher tonnage being procured translating to more beneficiary being reached from 22,000 to 34,026. WFP was also able to negotiate

36



Provision of food and nutrition assistance to the most vulnerable for their immediate protection from hunger and to prevent and reduce undernutrition

10. Outcome statement

Increased number of targeted households have restored food security and nutrition by the end of the intervention

11. Outputs

Output 1 # of households received planned general food distributions in time

Output 1 Indicators

Description Target Reached

Indicator 1.1 Number of households/beneficiaries receiving general food assistance (rice) as % of planned

100% (4,400 households for 6

rounds, 1684 household for the

7th round)

112% (6,811 households)

Indicator 1.2 Total amount of general food distributed to beneficiaries as % of planned

100% (702.1 MT rice)

104% (731 MT)

Output 1 Activities

Description Implemented by (Planned)


Activity 1.1 Cooperating/Standby partners contracted WFP WFP

Activity 1.2 Mobilise and sensitize communities about the project and the selection Criteria

WFP/Mukti/SHED WFP/Mukti/SHED

Activity 1.3 Beneficiary identification, verification with communities Mukti/SHED WFP/Mukti/SHED

Activity 1.4 Distribution of food (25 kg of rice each transfer) to 22,000 new arrivals (4,400hhs)

Mukti/SHED Mukti/SHED

Activity 1.5 Post distribution monitoring WFP WFP

Output 2

Nutritional products distributed in sufficient quantity, quality and in a timely manner to targeted beneficiaries. Note: Distribution of blanket supplementary feeding for the prevention of undernutrition in children aged 6–59 months, PLWs and TB patients

Output 2 Indicators


Indicator 2.1 Quantity of assistance distributed, disaggregated by type, as % of planned

100% (88MT) 110% (97 MT)

Indicator 2.2 Number of children, PLWs and TB patients receiving food assistance, disaggregated by sex, as % of planned

100% (3,495) 104% (3,633)

Output 2 Activities



Activity 2.1 Beneficiary identification, and registration ACF/SHED ACF/SHED

Activity 2.2 Distribution of nutrition commodities ACF/SHED ACF/SHED

Output 3 Messaging and counselling on specialized nutritious foods, IYCF practices and maternal care and nutrition implemented effectively

better/competitive transport costs due to the higher tonnage purchased.

37

Note: Nutrition awareness provided to PLW, caregivers of children, community men and women through centre based courtyard sessions, home visits and cooking demonstrations.

Output 3 Indicators


Indicator 3.1 Number of women/men exposed to nutrition messaging supported by WFP, against number planned

100% (3,495) 104% (3,633)

Indicator 3.2

Number of targeted caregivers (male and female) receiving 3 key messages delivered through WFP-supported messaging and counselling Note: Targeted caregivers are individuals identified as beneficiary children‟s primary caregivers, who are responsible for collecting rations and who know the most about what beneficiary children are fed

100% (3,495) 104% (3,633

Indicator 3.3

Number of women/men receiving nutrition counselling supported by WFP, against number planned Nutrition counselling sessions Note: Nutrition counselling sessions can include individual or group sessions

100% (3,495) 104% (3,633)

Output 3 Activities



Activity 3.1 Organizing BCC sessions, community mobilization and community sensitization before the food distribution

SHED/ACF SHED/ACF

Activity 3.2 Demonstration to caretakers and PLW on how to use the BSFP ration: daily quantity, feeding frequency, desired consistency of the porridge and the preservation methods

SHED/ACF SHED/ACF

Activity 3.3 Post distribution monitoring of the utilisation of the supplementary food and BCC and counselling sessions

SHED/ACF SHED/ACF


The CERF funding reached a higher beneficiary number as compared to planned totals due to commodity price decrease. During the program period, the price of rice was much lower resulting in a higher tonnage being procured. The price of vegetable oil and WSB+ and WSB ++ was also lower, resulting in higher tonnage being procured translating to more beneficiary being reached from 22,000 to a total of 34,026 beneficiaries. The higher beneficiary number was also in part due to the modality of sensitization at block levels. WFP was able with the extra tonnage procured to incorporate and assist new arrivals that were not initially targeted in the proposal.

13. Please describe how accountability to affected populations (AAP) has been ensured during project design, implementation and monitoring:

The programme ensures strict monitoring and recording. This is achieved in part through weekly measurements and household visits to ensure children and PLWs receive and are consuming their food rations in the eventuality sharing is ongoing that may have an impact on malnutrition levels. The household visits also ensured that WFP received beneficiary feedback on programme implementation. A community feedback mechanism was in place to ensure accountability to the beneficiaries. WFP cross-monitored the project sites to gain feedback from the beneficiaries and address complaints and issues. A hotline number was in place (and still is) and displayed at various public places, including the project and distribution sites, where people can report any complaints or irregularities. During the project period, regular calls were received on targeting & registration, seeking information and reporting service delivery issues regarding this project. All calls received have been verified and feedback provided with corresponding priority. The verification has been done by CP‟s and WFP staff based on the complaint type and priority.

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The project planned to monitor the activities through post distribution monitoring, where the major findings of the General Food Distribution are:

The post distribution monitoring confirmed 100% respondents were informed and received their full entitlement whereby 73% rated the quality of rice as good, 14% rated fair and 13% rated bad. Those who rated fair or bad quality, reportedly received „broken rice‟ (Grain that is short or is fragmented having been broken in the field, during drying, transportation or milling)

Among the beneficiaries, 59% consumed all of the rice and 41% were reported to consume 60-70% of the assistance with the remainder bartered with other commodities or sold to purchase other food items.

The beneficiary selection process was reportedly „clean‟ or corruption free. Beneficiaries did not need to pay anyone to be included in the distribution list.

Travel routes to and from the distribution point were reported as safe. Beneficiaries did not need to pay anyone to receive their entitlement.

EVALUATION PENDING


39

ANNEX 1: CERF FUNDS DISBURSED TO IMPLEMENTING PARTNERS

CERF Project Code Cluster/Sector Agency Partner Type Total CERF Funds Transferred

to Partner US$

16-RR-WFP-072 Food Assistance WFP NNGO $66,353

16-RR-WFP-072 Food Assistance WFP INGO $11,240

16-RR-FPA-055 Health UNFPA NNGO $103,101

16-RR-CEF-129 Child Protection UNICEF INGO $54,058

16-RR-CEF-129 Child Protection UNICEF NNGO $46,310

16-RR-CEF-130 Nutrition UNICEF INGO $156,653

16-RR-CEF-130 Nutrition UNICEF NNGO $63,839

16-RR-IOM-043 Health IOM NNGO $27,000

16-RR-IOM-043 Health IOM NNGO $33,000

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ANNEX 2: ACRONYMS AND ABBREVIATIONS (Alphabetical)

ACF Action Contre la Faim

BCC Behavioural Change Communication

BDRC Bangladesh Red Crescent

BGS Bangla German Sampreeti

BRAC Building Resources Across Communities

BSFP Blanket Supplementary Feeding Program

CBCPC Community Based Child Protection Committees

CFS Child Friendly Spaces

CP Cooperating Partner

CRM Community Response Map

DNSO District Nutrition Support Officer

DSS Department of Social Services

GBV Gender Based Violence

GoB Government of Bangladesh

HCTT Humanitarian Coordination Task Team

HRP Humanitarian Response Plan (HRP)

IEC Information, Education and Communication

IMS Information Management System

IOM International Organization for Migration

IPT Interactive Popular Theatre

ISCG Inter-Sector Coordination Group

IYCF Infant & Young Child Feeding

LMS Leda makeshift Settlement

LSBE Life Skills-Based Education

M&E Monitoring & Evaluation

MAM Moderate Acute Malnutrition

MIRA Multi-sector Initial Rapid Assessment

MISP Minimum Initial Service Package

MNP Micronutrient Powder

MoDMR Ministry of Disaster Management and Relief

MoFA Ministry of Foreign Affairs

MoHFW Ministry of Health and Family Welfare

MT Metric Ton

MUAC Mid Upper Arm Circumference

NFI Non-Food Item

OB-GYN Obstetrician-Gynecologist

OPT Out-Patient Treatment

PLW Pregnant and Lactating Women

RC Resident Coordinator

RCO Resident Coordinator‟s Office

RH Reproductive Health

ROAP Regional Office for Asian and the Pacific

RTMI Research, Training and Management International

SAM Severed Acute Malnutrition

SGBV Sexual and Gender Based Violence

SHED Society for Health Extension and Development

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SO Strategic Objective

SRHR Sexual and Reproductive Health and Rights

SW Social Worker

TB Tuberculosis

TWG Technical Working Group

UMN Undocumented Myanmar National

UNFPA United Nations Population Fund

UNHCR United Nations High Commissionner for Refugees

UNICEF United Nations Children‟s Fund

UNO Upazilla Nirbahi Officer

USSO Upazilla Social Services Officer

WFP World Food Programme

WFS Women Friendly Space

RESIDENT / HUMANITARIAN COORDINATOR REPORT ON … · Cox‟s Bazar and the inter-agency forum for...

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